IF 5.3 1区 医学 Q1 PSYCHIATRY Schizophrenia Bulletin Pub Date : 2025-02-18 DOI:10.1093/schbul/sbaf007.077
Jinsha Zhao, Sha Wu, Jiaxin Du*
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引用次数: 0

摘要

背景 随着社会竞争的加剧和人们生活节奏的加快,大学生面临着前所未有的压力。据国内相关调查数据显示,70%以上的大学生存在不同程度的心理压力,约20%的学生存在明显的心理障碍。心理压力和心理障碍不仅影响大学生的学习、生活和人际交往,还可能对其未来发展产生负面影响。心理咨询作为一种有效的心理干预方法,在帮助个体应对心理压力方面取得了良好的效果。在此背景下,本研究旨在探讨心理咨询策略结合社会支持对大学生应激障碍的积极干预效果,希望能为大学生心理应激障碍的干预提供新的思路和方法。方法 本研究涉及 200 名有应激障碍的大学生,平均分为实验组和对照组,每组 100 人。实验前,采用 "大学生应激障碍自评量表 "进行综合心理评估,评分范围为[0,5]分。得分越高,压力障碍越严重。实验组采取心理辅导与社会支持相结合的策略,为期 8 周。实验前两周,心理辅导员与大学生进行一对一谈话,每周两次,每次 60 分钟,了解背景信息,建立信任。第3-8周,根据评估结果制定个性化计划,鼓励参加社团活动,并结合认知行为疗法,教授应对技巧。在第 4-7 周,每两周为实验组大学生提供 30 分钟与家人和朋友的沟通支持。对照组采用与实验组相同的心理辅导策略,但不涉及社会支持干预。咨询频率为每周一次,每次 60 分钟,持续 8 周。结果 实验组干预前应激障碍评分为(3.5±0.6)分,干预后应激障碍评分为(2.1±0.4)分。干预前后的差异具有统计学意义(P<0.01)。对照组干预前应激障碍评分为 3.6 ± 0.5 分,干预后应激障碍评分为 2.8 ± 0.5 分。干预前后的差异具有统计学意义(P<0.01)。干预后,实验组和对照组的应激障碍得分差异有统计学意义(P<0.01)。讨论 结合社会支持的心理辅导策略对大学生应激障碍有显著的积极干预效果。该干预策略有助于大学生在面对压力时,既能从心理咨询中获得专业的心理调适指导,又能利用社会支持网络获得情感、实践等形式的支持,从而更好地应对压力情境,降低应激障碍的负面影响。基金编号:YJYB202302。
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77 THE POSITIVE INTERVENTION EFFECT OF PSYCHOLOGICAL COUNSELING STRATEGIES COMBINED WITH SOCIAL SUPPORT ON STRESS DISORDERS IN COLLEGE STUDENTS
Background With the intensification of social competition and the acceleration of people’s pace of life, college students are facing unprecedented pressure. According to relevant survey data in China, over 70% of college students experience varying degrees of psychological pressure, with about 20% of students having significant psychological disorders. Psychological pressure and obstacles not only affect the learning, life, and interpersonal communication of college students, but may also have a negative impact on their future development. Psychological counseling, as an effective psychological intervention method, has achieved good results in helping individuals cope with psychological stress. In this context, the study aims to explore the positive intervention effect of psychological counseling strategies combined with social support on stress disorders in college students, with the hope of providing new ideas and methods for the intervention of psychological stress disorders in college students. Methods This study involved 200 college students with stress disorders, divided equally into an experimental group and a control group, with 100 participants in each group. Before the experiment, a comprehensive psychological assessment was conducted using the “Self Rating Scale for Stress Disorders in College Students”, with a scoring range of [0,5]. The higher the score, the more severe the stress disorder. The experimental group adopted a psychological counseling strategy combined with social support for a period of 8 weeks. Two weeks before the experiment, psychological counselors had one-on-one conversations with college students twice a week for 60 minutes each time to understand background information and establish trust. During weeks 3-8, develop personalized plans based on evaluations, encourage participation in club activities, and incorporate cognitive-behavioral therapy and teaching coping skills. During weeks 4-7, provide the experimental group of college students with 30 minutes communication support with family and friends every 2 weeks. The control group used the same psychological counseling strategy as the experimental group, but did not involve social support interventions. The counseling frequency was once a week, 60 minutes each time, lasting for 8 weeks. Results The pre intervention stress disorder score of the experimental group was 3.5 ± 0.6 points, and the post intervention stress disorder score was 2.1 ± 0.4 points. The difference before and after intervention was statistically significant (P<0.01). The pre intervention stress disorder score of the control group was 3.6 ± 0.5, and the post intervention stress disorder score was 2.8 ± 0.5. The difference before and after intervention was statistically significant (P<0.01). After intervention, the stress disorder scores of the experimental group and the control group showed statistical significance (P<0.01). Discussion The psychological counseling strategy combined with social support has a significant positive intervention effect on stress disorders among college students. This intervention strategy helps college students to obtain professional psychological adjustment guidance from psychological counseling when facing stress, and can also use social support networks to obtain emotional, practical, and other forms of support, thereby better coping with stressful situations and reducing the negative impact of stress disorders. Funding No. YJYB202302.
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来源期刊
Schizophrenia Bulletin
Schizophrenia Bulletin 医学-精神病学
CiteScore
11.40
自引率
6.10%
发文量
163
审稿时长
4-8 weeks
期刊介绍: Schizophrenia Bulletin seeks to review recent developments and empirically based hypotheses regarding the etiology and treatment of schizophrenia. We view the field as broad and deep, and will publish new knowledge ranging from the molecular basis to social and cultural factors. We will give new emphasis to translational reports which simultaneously highlight basic neurobiological mechanisms and clinical manifestations. Some of the Bulletin content is invited as special features or manuscripts organized as a theme by special guest editors. Most pages of the Bulletin are devoted to unsolicited manuscripts of high quality that report original data or where we can provide a special venue for a major study or workshop report. Supplement issues are sometimes provided for manuscripts reporting from a recent conference.
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